Get your Health question answered in 3 easy steps

166 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Is Tamoxifen effective in breast cancer treatment?

Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 16295 Questions

default
Posted on Tue, 2 Sep 2014 in Breast Cancer
Question: I am almost 90 and diagnosed with breast cancer. I opted not to under go surgery so the doctor put me on tamoxefen. I have been giving some thought to my decision. I have seen too many elderly laid low by surgery and am considering letting nature take it's course. Some things just sound worse than dying.
doctor
Answered by Dr. T Chandrakant 55 minutes later
Brief Answer:
Nothing maters more than your wish and will.

Detailed Answer:
Hi Madam.
With high regards.

I can very well understand the feeling you must have been going through.
If Tamoxifen is helping reducing the tumor, it is working and is one of the valid treatments.

You are absolutely right about your observation about the possible complications of surgery in elderly.

Particularly in case of Ca-breast there are three modalities of treatment
1. Chemotherapy
2. Radiotherapy
3 Surgery- here again we have an option to go for
a. lumpectomy to reduce the load of tumor so that the chemotherapy and/ or . radiotherapy works better , The morbidity is the least.
b. Quadrantectomy- the quadrant in which the tumor is removed
c. Mastectomy- whole breast and axilla is cleared.

I would request you humbly to take the opinion of a Surgical and Medical Oncologist. This is where the rest of the people miss out. Take the opinion of both the Specialists. I am sure you will be most benefited as per the stage of the disease, your age, your will and wish.

I pray for the best for you.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Medical Procedures
Medical Topics

Recent questions on Breast cancer

doctor1 MD

I know someone who said he went through 4 - 6 weeks of both radiation and chemotherapy for rectal cancer. He had surgery and again is having either radiation or chemotherapy, yet, he didn't lose any hair. (he was balding before he started treatments) How rare is it not to have significant hair loss while undergoing such brutal treatments?

doctor1 MD

my mother has nuerogenic bladder due to metastatic breast cancer involving the sacral spinal cord,she has urine retention,she have to put folleys catheter to drain urine out,& she developed recurrent UTI 3 times per month,Is there any medicines for prophlaxis UTI ,now she is taking chemotherapy

doctor1 MD

Hello
My mom has lung cancer and she is 46 years old.
Here's her medical history:
Left breast cancer (03.11.09); T1c(1-2cm) N0 (0/4nodes) Grade II IDC ER+/PR=HER2 (2+on IHC). She completed 6 cycles of adjuvant FAC chemotherapy followed by 60Gy/30fr adjuvant RT completed 05.0810. She was also started on Tamoxifen.
She developed rectal bleeding in February 2010. Colonoscopy in July 2010 showed a stenosing tumour extending from 10-18cm from the anal verge. Biopsy revealed a moderately differentiated adenocarcinoma and pelvic MRI suggested this to be a T3N2 lesion. She was started on Oxaliplatin, capecitabine , bevacizumab. She was admitted in the hospital due to complains of weakness, hypotension and bloody diarrhoea. After it was treated she underwent surgery and palliative colostomy without resection of the colonic primary because it was very adherent to the intra abdominal structures and the surgeon did not want to risk major exploration and dissection in the presence of peritonitis secondary to a colonic perforation. After post operative recovery she had been suffering from peripheral neuropathy and still is. However, she has found relief with TENS.
PET/CT scan showed bilateral pleural based metastatic lesions and a possible left lower lung parenchymal deposit also. the primary lesion did not show increased FDG uptake, possibly secondary to having its blood supply cut off by the surgeon. She was also diagnosed with multiple filling defects in the right lung on CTPA and received therapeutic low molecular weight heparin. She has a clot in her lung vessel for which she gets clexane injections everyday. She had pleural effusions aspirated three times since the start of May 2011, from the right and left side. She got a Groshong central venous catheter and started her chemotherapy (Ondansetron, dexamethasone, atropine, irinotecan). She completed 1 cycle of her chemotherapy. The chemotherapy was discontinued because of a severe infection due to the Groshong line. She was started on antibiotics but the catheter was ultimately removed. After the infection settled and she recovered a little of her strength, she was misdiagnosed with passive pneumonia and was given Tazocin. It was just recently diagnosed as loculated pleural effusion. She also has a collapsed lower right lobe. She had the effusions aspirated 3 times, one time every day.The lobe has shown improvement. She is now complaining of chest pain, pressure on the chest and extreme shortness of breath. She has been on oxygen for about a week now and finds it difficult and tiring to breath without the oxygen mask. The lung saturation however is within acceptable parameters so i dont understand why she finds it difficult to breath without the oxygen. It has gotten so bad that she's unable to talk properly and can hardly complete a sentence without taking breaks. Yesterday night her chest pain got so bad they had to give her morphine which took quite a lot of time to wear off and she felt extremely lethargic. She is complaining of palpitations and says her heart skips beats(for which she was given Metoprolol Tartrate) but no significant improvement is noted. But the doctor says her heart is doing fine, so im really confused. She also feels a tingling sensation around her lips, head and limbs quite frequently and keeps getting these tiny jolts every now and then. What do you suggest we do about that? Overall, she feels extremely weak and is drowsy and lethargic most of the times and im getting really worried because she is showing no signs of improvement. Should she start getting her chemotherapy even though she's really weak? and can you please tell me what to do about her breathing and lethargy?

doctor1 MD

Doctor I want ask you about my wife breast she have now 42 years she breast become down small all so I want little more big and become study . now I want ask you she can eat fenugreek tablet means any changes If she can eat daily how many tablet please give me answer thanks

doctor1 MD

My back is painful in kidney area. This morning there was blood in my urine. I have a dr. apt tomorow for blood work and then an apt. Can I wait till then to see a doctor. Will an antibiotic help if it is an infection. I take handfuls of food...

doctor1 MD

Hi, I am 59 years old, still having vaginal bleeding and have had severe pain in my right breast for over a week. I don't have insurance so the thought of seeing a doctor or having test run is next to impossible. Is it anything to be worried about

doctor1 MD

Can a simple breast cyst turn into a complex one? Can a breast cancer hide behind a cyst and be undetectable?